RAEGAN D DETTLAFF LPC
NPI 1639870439
Counselor - Professional in Lebanon, MO
About Raegan D Dettlaff Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAEGAN D DETTLAFF LPC (NPI 1639870439) is an individual professional provider in Lebanon, Missouri, licensed in Missouri (2025009356) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Raegan D Dettlaff Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raegan Dettlaff's NPI number?
The NPI number for Raegan Dettlaff is 1639870439. It was assigned to this individual provider in the NPPES registry on March 17, 2023. The provider is also known as Reagan D Huhn.
Where is Raegan Dettlaff located?
Raegan Dettlaff practices at 860 Lynn St, Lebanon, MO 65536. The listed phone number is (844) 853-8937.
What is Raegan Dettlaff's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Raegan Dettlaff enrolled in Medicare?
Yes. Raegan Dettlaff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Raegan Dettlaff accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Raegan Dettlaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Raegan Dettlaff was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Raegan D Dettlaff, LPC · NPI 1639870439
Professional provider in Lebanon, Missouri. Individual provider, active in the CMS NPPES registry since March 17, 2023.
## Identity
- **NPI:** 1639870439 (Entity type: Individual)
- **Enumerated:** March 17, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2025009356 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 860 LYNN ST, Lebanon, MO 65536-3810
- **Phone:** (844) 853-8937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639870439) · Data from the CMS NPPES public registry.